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� �.- ,�i j�,�' — B ilding Department ' - <br /> f^'r r.� ' ;a <br /> pate Reoeived �'�� 2 �j r' <br />''i Phone.Contact fQr Pe�nittiq 13 Z � _ '`�'"��� <br /> Owner's Name ������ c�JV P 11 Owner Pho�e Numb r �t'S�3-'��8 - `l 2a�1 <br /> owner�sAddress ��� ��71''► 2-N►'t!S FL335`f UwnerPhane`Numb r C ' , � <br /> Fee 8lmple Tltlehotder Name � Owner Phane�Namb r �.._.,_..._,�...,_..� <br /> I ' <br /> Fee Simple TitishotderAddreaa <br /> , <br /> JOB ADQRESS ��2-Y� S% Z.,G..P�+fz �f�ll S J�C � � �"`���- t»OT# 1� t`!, t� <br /> suBOivisioN "Tc�wn� h�1 S PAR�EL IQ# t! -2�-2/-���p--C�2y p�-ca t 3 p <br /> � � (OBTAIN�D�ROM P OPI:RTY TAX NOTIGE) <br /> WQRK PROi?03ED e NE CON57R 8 ADD/ALT Q' SION C] i0 DEMOLISH <br /> IFVB ALL REP �tR <br /> Pf20POSED USE {,� SFR Q COM� � O7HER <br /> TYPE OF CON3TRUCTiON Q 6L0 K [� FRAA�E � STEEL Q <br /> DESGRIPTlG1Nt}FWORK r.cA� �+ �C3� AIG 3'f"��3�J t�.S�E2 F�Eir`2ao�"Al. �,��s.l <br /> , ' t-�AT'{��+^"`P` _- <br /> BUI�DlN(3 SIZE 3Q FOQTAC3E N�lGHT <br /> [�BUI4DING $ VALUAI'IQN 4F TC?TA!CONSTRUCTIQN { <br /> [,�ELECTRICAL $ ! AMP SER ICE [� PR00 E8S ENERGY Q W.R.E.C. <br /> I <br /> [�PLUMBINO $ � � <br /> [�MECHANICAI. $ /� VALUATIO OF MECHANICAI.INSTALLATIO '� ��/� <br /> ip�-`��'!',L`?4 <br /> [�OAS [� ROO ING [� SPEC ALTY [�J OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA C]YES NO <br /> , BUILDER C MP'ANY <br /> 51CyNATURE R�GIST'ERED Y/ N : FE GURREA Y/N <br /> i <br /> Address i Licens # <br /> :LEGTRlClAN COMPANY <br /> 3lGNATURE R�GlSTEREQ Y/ N ; FE CURREA Y/N <br /> Address � Llcens # � <br /> 'LUMBER C�tMPANY <br /> �1C3NATURE ' REQlS7�RER Y/ N fE CURREA Y/N <br /> Addrass Licens # � � <br /> r �-t <br /> tECHANlCAl. `� COMPANY 1"�" � �G�' `�'�La S� �C�.�� -t ey <br /> IGNATURE �, l•�'/, �- I REOISTERED Y/ N �� CUft EA Y/N <br /> Address t �Z. r�ss�.r�. (31�J T.e+�� F� 'a�3���"� Ucens # �C.A�. I�1��'��'',�� <br /> , _�„� ( . , <br /> aTNER CQMPANY <br /> iGNATURE REQISTEREO Y/ N FE cuRtten Y/N <br /> � �Addrass � � License# � <br /> i <br /> ESlDENTIAL Atiach(2}Plot Plans„(2)sets o�Bullding Plans;(i}set af Energy Forms;R-Q-W Permlt for ew constructlan, <br /> Minimum ten(10)working days fter submlt�al date. Requlred onsite>,ConstrucUon Plans,S om�water Plans w/8(Ik Fence Installed, <br /> - Sanitary��acllldes&1 dump�ker Site Work Permlt for-siubdiv(slor�sllarge-prcJects� ---�°= -=--' � -�f`��- "-'�'— <br /> OMMERCfA� At#ach(3)camplete sets of Buil ing Plans plus a Life Safe#y Page;{1)sa#of Energy Forms. •O-W Permlt foC naw construCtfon. <br /> Mlnlmum ken{40}workfng dFrys fter submltta!date. Requlred onslte,.Constructlan Plans,S ormwater Plans w!S!!t Fence Instakled, <br /> Sanitary Faoilitles 8�1 dumpster Site Work Permit for all new proJects.All commercial requi ments must meet�compliance <br /> 'GN PERMIT Attach(2}sets af Eng(neereci PI ns. <br /> '•'*PROPERTY SUR1fEY requl d for ati NEW constructtart. <br /> rectlons: � '�' <br /> FiN aut appficat(an completely. !� � <br /> Qwner&Contractor slgn back of appllcatlon,n tarized <br /> If over E2S00,a Notice of Commencement I required. (A/C upgr�des over 57500) <br /> Agent(for the contractor)or Power of Attomey for the owner)would be someone with notarized letter from owner authorizing sama <br /> �ER THE COUNTER PERMITTING {Front o Appllcatlon Only) <br /> :roofs i1 shingies Sewers Servlce Upgr des fVC Fences(P1ot/SurveylFoatage} <br /> p�iveways-Not over Counter if on gubllc ro�ed ys..nseds RQW <br />